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Walter Jackson Freeman II (November 14, 1895 – May 31, 1972) was an American physician who specialized in lobotomy. [1] Wanting to simplify lobotomies so that it could be carried out by psychiatrists in psychiatric hospitals, where there were often no operating rooms, surgeons, or anesthesia and limited budgets, Freeman invented a transorbital lobotomy procedure.
Phineas P. Gage (1823–1860) was an American railroad construction foreman remembered for his improbable: 19 survival of an accident in which a large iron rod was driven completely through his head, destroying much of his brain's left frontal lobe, and for that injury's reported effects on his personality and behavior over the remaining 12 years of his life—effects sufficiently ...
The use of lobotomy in the United States was resisted and criticized heavily by American neurosurgeons. However, because Freeman managed to promote the success of the surgery through the media, lobotomy became touted as a miracle procedure, capturing the attention of the public and leading to an overwhelming demand for the operation.
Until Freeman introduced the technique of transorbital lobotomy, psychosurgery required the skills of a surgeon. The standard lobotomy/leucotomy involved drilling burr holes in the skull on the side of the head and inserting a cutting instrument; it was thus a "closed" operation, with the surgeon unable to see exactly what he was cutting.
The American term lobotomy has never been used by medical writers in the UK to describe a psychosurgical operation on the frontal lobe. The standard Freeman-Watts operation, called a lobotomy in the US, was called a leucotomy in the UK. Freeman later developed a psychosurgical technique in which an instrument is inserted through the eye-socket.
Another, different, surgical instrument also called a leucotome was introduced by Walter Freeman for use in the transorbital lobotomy. Modeled after an ice-pick, it consisted simply of a pointed shaft. It was passed through the tear duct under the eyelid and against the top of the eyesocket.
It was invented by Dr. Walter Freeman in 1948 to replace the unique form of leucotome used up until that point for the transorbital lobotomy procedure. This instrument is, essentially, an ice pick with some gradation marks etched onto the shaft.
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